Cancer Pain Part 2: Physical, Interventional and Complimentary Therapies; Management in the Community; Acute, Treatment-Related and Complex Cancer Pain: A Perspective from the British Pain Society Endorsed by the UK Association of Palliative Medicine and the Royal College of General Practitioners: Cancer Pain Part 2

Jon Raphael, Joan Hester, Sam Ahmedzai, Janette Barrie, Paul Farqhuar-Smith, John Williams, Catherine Urch, Michael I. Bennett, Karen Robb, Brian Simpson, Max Pittler, Barbara Wider, Charlie Ewer-Smith, James DeCourcy, Ann Young, Christina Liossi, Renee McCullough, Dilini Rajapakse, Martin Johnson, Rui DuarteElizabeth Sparkes

    Research output: Contribution to journalArticlepeer-review

    57 Citations (Scopus)

    Abstract

    Objective: This discussion document about the management of cancer pain is written from the pain specialists' perspective in order to provoke thought and interest in a multimodal approach to the management of cancer pain, not just towards the end of life, but pain at diagnosis, as a consequence of cancer therapies, and in cancer survivors. It relates the science of pain to the clinical setting and explains the role of psychological, physical, interventional and complementary therapies in cancer pain. Methods: This document has been produced by a consensus group of relevant healthcare professionals in the United Kingdom and patients' representatives making reference to the current body of evidence relating to cancer pain. In the second of two parts, physical, invasive and complementary cancer pain therapies; treatment in the community; acute, treatment-related and complex cancer pain are considered. Conclusions: It is recognized that the World Health Organization (WHO) analgesic ladder, whilst providing relief of cancer pain towards the end of life for many sufferers world-wide, may have limitations in the context of longer survival and increasing disease complexity. To complement this, it is suggested that a more comprehensive model of managing cancer pain is needed that is mechanism-based and multimodal, using combination therapies including interventions where appropriate, tailored to the needs of an individual, with the aim to optimize pain relief with minimization of adverse effects. Wiley Periodicals, Inc.

    Original languageEnglish
    Pages (from-to)872-896
    Number of pages25
    JournalPain Medicine
    Volume11
    Issue number6
    DOIs
    Publication statusPublished - Jun 2010

    Keywords

    • Cancer Pain
    • Palliative Treatment

    ASJC Scopus subject areas

    • Clinical Neurology
    • Anesthesiology and Pain Medicine
    • Medicine(all)

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